Individual provider Active NPI

Nikita Sak

  • Physical Therapist
  • New York, NY
National Provider Identifier
1487524062
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT43690 Issued in FL
Practice address
138 5TH Ave FL 2
New York, NY 10011-4367
Phone
(212) 287-4257
Fax
(888) 494-1686
NPI assigned
Nov 7, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT43690 FL Primary

Addresses

Primary practice location

138 5TH Ave FL 2
New York, NY 10011-4367

Mailing address

138 5TH Ave FL 2
New York, NY 10011-4367
Phone (212) 287-4257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260211000249 FL Practitioner - Physical Therapist in Private Practice 6002395993 Reassigns benefits to 1 organization
I20260521001785 NY Practitioner - Physical Therapist in Private Practice 6002395993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

138 5TH Ave
FL 2
New York, NY 10011-4300

1545 Dahill Rd
Apt H5
Brooklyn, NY 11204-3540

1545 Dahill Rd Apt
H5
Brooklyn, NY 11204-3546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT43690FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Jan 6, 2026 Accepting new patients

Locations

111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1487524062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 5TH AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114367",
            "telephone_number": "212-287-4257",
            "fax_number": "888-494-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 5TH AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114367",
            "telephone_number": "212-287-4257",
            "fax_number": "888-494-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAK",
        "first_name": "NIKITA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT43690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.